冰黄药凝胶对糖尿病足溃疡创面疗效的研究

Efficacy of binghuang gelatum in the treatment of diabetic foot ulcer wounds

  • 摘要: 目的 探讨冰黄药凝胶对糖尿病足溃疡感染创面的治疗效果,为糖尿病足溃疡感染的临床治疗提供参考依据。方法 选取2015年12月-2016年12月医院收治的糖尿病足溃疡感染的患者88例为研究对象,根据治疗方法分为研究组和对照组,各44例;对照组患者给予氯化钠、胰岛素和庆大霉素纱布敷贴,研究组患者给予冰黄药凝胶治疗;对两组感染病原菌、生化指标、溃疡面愈合指标和临床疗效进行观察。结果 研究组感染患者共检出病原菌58株,对照组感染患者共检出57株病原菌,两组患者均以铜绿假单胞菌为主;研究组患者的各项生化指标水平与对照组差异无统计学意义;研究组患者的溃疡面愈合时间、溃疡面面积和创面闭合指数分别为(15.34±7.23)d、(2.06±0.34)cm2和(97.45±3.13)%均显著优于对照组的(20.62±9.31)d、(4.01±2.65)cm2和(82.53±6.11)%(P均<0.05);研究组患者的总有效率为90.91%显著高于对照组72.73%,差异有统计学意义(P<0.05)。结论 冰黄药凝胶能有效促进糖尿病足患者溃疡创面的愈合,提高临床综合治疗效果。

     

    Abstract: OBJECTIVE To investigate the therapeutic effect of binghuang gelatum on diabetic foot ulcer infection wound healing, so as to provide references for clinical treatment of diabetic foot ulcer infection. METHODS A total of 88 patients with diabetic foot ulcer infection from Dec. 2015 to Dec. 2016 were selected. According to the clinical treatment method, the patients were divided into study group and control group, with 44 cases in each group. The patients in control group were given sodium chloride, insulin and gentamicin gauze, and in study group were treated with binghuang gelatum. The pathogens, biochemical indexes, ulcer healing indexes and clinical efficacy of the two groups were observed and compared. RESULTS A total of 58 pathogens were detected in the infected patients of study group and 57 pathogens were detected in control group. Pathogens in both groups were mainly Pseudomonas aeruginosa. There were no significant differences in the biochemical indexes between the two groups. The ulcer surface healing time, ulcer surface area and wound closure index in study group were (15.34±7.23) d, (2.06±0.34) cm2 and (97.45±3.13)%, which were significantly better than control group of (20.62±9.31) d, (4.01 ± 2.65) cm2 and (82.53±6.11)% (P<0.05). The total effective rate of study group was 90.91%, which was significantly higher than 72.73% of control group (P<0.05). CONCLUSION Binghuang gelatum can effectively promote the healing of ulcer wounds in patients with diabetic foot and improve the effect of clinical comprehensive treatment.

     

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